14896 SW KENTON DRIVE-1 u...w.r+�«,r-�+wrr4w�.�r...a:,.wv.Wr.wWwrrwiM�«s.;xµy�w,.rwu. ,;p�Miye.Mw�wu+YNKr+r,Y',vAwVprlaaMMM�1f1w ... w+nuNw ',..wewn..n,w:::bw.,..�r.,n.�sWnsANYw.w+u wWwr..
e
�.d
lP
H
t
14896 SW KF',7"N DRIVE
CERTIFICATE OF
CITY OF TIOARD Crfy0,F RD OCCUPANCY
COMMUNITY DFVELOPMENT DEPARTMENT Ow" PirRMIT #. . . . . . . I 14ST91
13125 SW Hd&v&P.O.BoR 23397,TV d,Ori WW(moaA75
17 1 DATE 19'"JOEDt _05/08/92
PARCEL.-
SITE nODRCSS. . . 1 14396 K0,4TON OR ZONTNGS, R-7
FjU!sj)jVlSIC,N. . . . t A5'!iFOkD OAKS 3
L.OT. . . . . . . . . . . . . : 142
P'.. CK,.
OF WORK. :NEW
TYPE", OF USE. . . :SF
OCCUPANCY GRP. 0:3
4.)(,XUPPNCY LOALItE-0
IENANT NAME. . l,'
PvmcArks r
owner
JAY MILLER
fjo BOX P3291
TIOARD OR 91a81
Phone #: 604-7543
Contravtors
'JAY MILLER
Po HC 23291
TIGARD OP 97281
phone #1 684 '754:3
Reg #. . t 301vl eforenced buildintl jj� hereby givers, ATICI
oc.�cupmpcy of the above v,
the compjjanL�t, voith t1lo State of Oregan �,jpecjajty Codes ff-W th4 V01-11),
,ise onder which the referonc:ed PVV'mit Was it's"tpc"
o.c.upancy, and
INSPE
FIRE DFPARTMFNT
8 4 ICIAL
POST IN CON,.Pl(',UOIJq- PLACE
Cit o Il/gpg�� NOTICE
City i Tigard Ni
lding n_p rt-..t M
Inenec�,�
Line 125 ,N Hall Blwd JJ Tigard, Oregon 97223
(Ret-O-Phone) b39-
Ino, 4.175 eusineee Phone: 639-4171
actions
Foo t s.ng
Plbg. Un r/lab
Pound,
Kech, Rough-in t'i.np�lk )
Plbg. Top put Gas Line
Pc;nt/Beam .Strutt• irINALs
San, Sewer
FramingPoet/Ream Nosh,
-Bldg.
Rain Drain
Ineulatlon
Plbg• Underfloor -Plumb,
Water Lino
Date Re GYP. Bd.
Quested: -� �.^�,(' --Mach.
Add
roee: _—
—AM PH
Builder:` Permit
-- ---
TFU+ FrO1,1OWINC CostRBCTIONS
ARE REQUIRED:
C��-PROVXt) ��` — Datss__
OI8 ROVRD $` --"�---
APPROVED SU"CT To AMVE
For Reinsp.
'' INgpZCTzon NOTICZ
City of Tigard BuLlding Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection , ine (Rec-O-Phones 639-4.175 Business Phone: 639-4171
Innpection:—
Footing Plbp. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. .San. Sower FramingBldg-.
Poet/Beam Mectl. Rain Drain Insulation `Plurob
Pbg, Underflos�: Water Line Gyp. Bd. -Mach.
i
to Requested.-__ Times AM — PM
Address.— _ Permit
Bu.ilders_21' Z.C� ��`
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector/APPROVED
�.r nit®s G C-�
--N DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
ACTION .
City of Tigard building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Innpection Line (Rec-O-Phone): 639-4175 Businens Phone: 639-4171
Inspection: --- ----_. —
Footing Plbg. Underslab Mech. Rough--in Appr/5dwlk�
Found. P1bg. Top Out Cas Line FINAL:
Pont/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Ra Ln Drain Insulation --Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
Date Requested: J Tisa= — PM
�� - , �y I
Address: ,� / >/ kjQ__'W_A Permit tc ���z
Builder: �/ /1
THE FOLLOWING CORRECTIONS ARE R-SQUIREDS / ,9
46 A
1A vi
-tza�'tej
-7 01
Inspector: z Date:
i
APPROVED V DISAPPROVED APPROVED SUBJECT TO APOVE
--
r Call For Reinsp.
IF
�N9P CTxON NarICID
etty of Tigard Duildinq Depart—t
1.3125 811 WI Blvd. Tigard' Oregon z , 639-4171
Inspection Line (Ree-O-Phone): 639-4175 Buein .
loot i nq
Flbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound.
Plbg. Top Out Dae Line FINAL:
Pent/Beam Struet. San. Sewer Framing -Bldg.
Insulation -Plumb.
Poet/Beam mach. Rain Drain
-Hoch.
Water Line �• /
Ylby. Underfloor _
ell�+, Timet �
Date Requested: /,,'
/ - - t~ Permit
oa
Addrm:_L_1
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Date:,/
APPRMT11 J_ DISAPPROVED APPROVED FUnirCP TO ABOVE
Call for Reinsp.
INSPECTION NOTYC$ )
City of Tigard Building Department
13125 8W Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Dueiness Phone: 639-•4171
Inspection:,_ --- ----_ -- ---
Footing Plbg. Underelab Mach. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer. Framing -Bldg.
past/Beam Mech. Rain Draia Insulation -Plumb.
Plby. Underfloor Water -L�iinc, "--Gyp. 'ld. -Mach.
Gate Reyuce,ted: _._L Tom= _� G PN
Address: ^✓ Permit
Builder:, 1►�f�,� (`� -
THE FOLLOWING :,ORRECTIONS ARE REQUIRED:
Inspector:_ _— — _- L`ates _-_ _ �
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinap.
AGPECTION NQTICIS
City of '�gard Building Department
13125 811 17vLL Blvd. Tigard, Oregon 97223
Inspection Line (Rec-c-Phone)t 63S-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Sari. Sewer Framing -Rldg.
Poet/Ream Mech. Rain Drain Insulation --Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Mech.
Date Requested: ) Timet AM —PM
Address t_ ` �?�J C.J Permit
Builders 2�r��.."L /.c _THE FOLLOWING CORRECTIONS APE REQUIRED: r
A10 LA-1
Inspector: -`` --- — Date:
//T i
v APPRQVED nISAPPROVRD _ -_ APPROVED SU8JRCT TO ABOVE
—___Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departtaent 1-
13125 SR Ball Blvd_ Tigard, Oregon 9':223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 5:19•-4171
Inspection:.
Footing Plbg. Underelab M h. Rough-in Appr/Sdwlk
Found. Plbg. Top Out '_1�s_L�ine FINAL:
Poet/Beata Struct. San. Sewer ram ng -Bldg.
Post/Bear. Mech. Rain Drain tns%.lation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested:
�.� ,--TL.^s _AN -PM
Addreset�`! c� / Permit s
euildur: L
THE Fol.LOWINt. CORRECTIONS ARE RRQUIRED:
Inspector sl_ Date:
APPROVED DISAPPRO•✓1ED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
t
4
INSPECTION NOTICE r
City of Tigard Building Department
13125 571 Bali Blvd. Tigard, Oregon 97223
Inspection Lines, (Rec-O--Pkone): 639-4175 Bus.ness Phono: 639-4171
Inspection: _ -- -— _-
Footirg Plbg. Underelab (,i�ah. Rough-±n Appr/Sdwlk
f
Found. Plbg. Top Out Gas Lina
Poet/Baam Struct. San. Sewer Framing -Bldg.
Post/Beam Meeh. Rain Drain
Insulation -plumb.
Water_ Line Gyp. ad. -Mach.
Plbg. Underfloor _ f
PH
Date
Requeste
d: // �.
Addreenr �1� �Cla ? Permit I r� Z.
Builders
TnE FOLLOWING CORRECTIONS ARE REQUIr.ED: e
-------- -----------
Inspector _^__� _� _— _ Dater
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE (`
Call For Rainsp.
INSPECT_Hul n NO:II'
City of Tigard Building eQartannt
13125 BO Ball Blvd, , Oc Tigard.9 egon 97223
c:
Inepection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Undersl.ab Mech. Rough-in APP r/Sdwlk =
Found.
Plby Top Out Gas Lina
FINAL-
Pont/Beam Struct. San. Sewer
Framing -Bldg,
Poet/Beam Mech. Rain Drain
Ineul.atl.on -Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
/� -Hoch.
DAte Requeste(1: " p 7p— rsCn K
—Time: AM PM
Addrens:-�yV7
Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED-
----- -------
Inspectors A
Date: o� _ 1 �7o
--------- �
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_—___-Call Per Ralnsp.
INEPT '[11 NOTICE
City of Tigard Building Department � !
131::5M Bell Bled. Tigard, Oregon 9723 0 _, j
.'lA
- A. _,_
Inspection Line (Rec-O-Fhone): 639-4175 Busineae Phones 6'l3.9-4171
Ynepaction:���_ ��
Footing Plbg. Undersleb �{o*-in Appr/Sdwllc
Found. Flbg. Top Out Gas Line FINJL:
Boat/Beam Struct. San- Sewer Framing -Bldg.
et/Beam MRain Drain Insulation -Plumb,
Plbg. Underfloor Water
/Line Gyp. Bd. -Mach.
Date Requestedt �� /% 1�- _ Timet ,4)�_AM PM
Adslreee: � � 2c./ Permit [i: / .0
Bulldort_,2�&aa
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector! �__--- Date:
\ APPROVED DISAPPROVED —T APPROVED SUB1*C•l M ABOVE
Call For Reinsp.
i
e
INSPAM.O -0
City of Tigard Building Department
1.31:5 BW Ball Blvd. Tigard, Oregon 97223
Tnspect!on Line (Rec-U-Phone): 639-4175 Business Phone: 639-4171
Inspection.• ------
Footing Plbg. 7nderalab Mesh. Rk gh-in Appr/Sdwlk
Found. PIbg. Top Out Gas Line FINALi
Poet/Beam Strurt. San. Sewer Framing --Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Underf— lo�or water Linc, Gyp. Bd.
G � ---.^�' Time:
Date Requested: �� _
Address:
.
Builders 7 11 It
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Dates
Inspector: _
�_APPROVBD _— DISAPPR4'IRD —^ APPROVED SUBJECT TO ABOVE
Call For Reinsp.
ON NIYCICE l'�i
INSPECT _��__
City of Tig" Building p&P-7taont
13125 SW ball Blvd. Tigard, Oregon 972.23
Inspection Line (Ree-4)-Phone): 639-4175 Busineas Phone: 639-4171
Icspections -----
9
Tootin Plug. Underelab Mech. Rough-.in Appr./Sdwlk
Found.. Plbg. Top Out
Gas Line FINAL-
Framing -Bldg.
Poet/Beam Struc,t, tin. Sewer g
Poet/Ream Mech. Rnin Dram
Insulation -Flumb.
-—-� -Mech.
Plby. Underfloor rater Lint Gyp. Bd.
^ Q
Date Rogveatells_��_ ____Ti.- PM
v- z' Permit
Address: �
Builder:412Kiu"-r THE FOLLOWING CORRECTIONS hqE REQUIRED:
-v I
__ffl•�- t
t
Inspelcto/Irs___ Date:
L� G�
7� APPROVED D[SAPPROVED APPROVED SUBJECT TO ABOVE
Call. For Reinsp
INSPZCTI(N NOT.:CZ
city of Tigard Building Departasnt /
13125 BD Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:___
/
rooting Plbg. Underalab Mach. Rough-in Appr/Sdwlk
ro-u ` Plbq. Top Out Gas Line FINAL=
Poet,/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch. v
Date Requested: ,� o2J Time: AK_
Addresseei . L �L-� _ Permit !sL JQ '�._
Builder:
T /
THE FOLLOWING CORRECTIONS ARE REQUIRED:
v�'6
6� � sc / (/i' ��a --
/ e7,11
Xle
—
i
Inspectors Dates_/
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_call Por Reinep.
MASTER PERMIT
CITYOF TIFARD
CrnTy Mrs
COMMUNITY DEVELOPMENT D%MRPMNT DATE ISSUED: 01/�'4/ljc'
13125 8W W BW P.O.Sm 23397,TlpM,Orepri 97 (503)M4175
:SUBDIVISION. . . . : ASHFORD OAKS 3 ZONING: R-7
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . . I
--------------- BUILDING
13LISSUE: DWELLING UNITS: 1 BA5EMENT. . . . . . . . :0 5f
LLHSS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :430 sf
TYPE OF USE. . . -5F FL.00R AREAS------------ REQUIRED
I YPIE OF* CON3T. :5N FIRST. . . . . 1023 s LEFT*. . .5 ft RIGHT. : 12 ft
OCCUPANCY URP. R3 GECOND. . . -B82 s FRONT. f t REAR. 27 ft
STORIES. ,. . . . . . :2 THIRD. . . . :0 of RE(-,!U.T
HEIG'iT. . . . . . . . :20 ft T0TAL--------C1905 -,f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 p$' VALUE. . . . . ; : 95370 PARKING SPACES. . :0
Remar-kt; t
---- PLUMBING
SINKS. . . . . . . . . . 91 FLOOD DRAINS. . . . :IP BACKFLOW PREVNTRS. . .0 •
LAVATORIES. . . . . 14 WATER HEATERS. . . . 1 TRAPS. . . . . . . . . . . . . .0
TUB/SHOWERS. . . . :2 LALINDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 E])FWER L-INE (ft ) . :0 GREASE TRAPS. . . . . . . ..0
DISHWASHERS. . . . : 1 WA-ILP I .INE (ft ) . -, 100 ()THER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHINU MACH. . . : 1 SF RAIN DRAINS. . I
MECHANICAL FEES
FUEL UNIT- HTR5. . sO type amount by date
/bAS/ VENTS . . . . . :0 TIF $ 1380. 00 JLH 01 /24/92
MAX INPUT :0 FA T U VENT V-"()NS. . :4 BPRT 4. 42:1.. 00 JL.H 01 /24/9L'
F'URN ( 100K . . el HOODS. . . . . . : 1 BPLC L73. 65 JLH 12/26/91 221178
FURN ) =100K . . :0 WOODSTOVES. :0 B5r-,(-. i c'1. 05 JLH
F'LOUR F'URN. . . . -0 CLO DRYERS. : I SEDC $ 280. 00 JLH 01/24/92 —
I'OIL/C"C' ( 3HP:0 OTHER UNITS:0 PARK s '5k'2)0. 0 0 JLH 01 /24/92 —
GAS OUTLETS- t MPRT $ 39. 00 JLH 01/24/92
Owner.- MPLC * 9. 75 JLF4 01/24/ -)a'
JAY MILLER M5PC $ 1. 95 JLH 01/24/92
FDO BOX '23E'91 PPRT R 147. 50 JLH 01/t '4/92
P5PC t 7. 38 JLH 01/2''4/92
TIGARD OR 97223
k,ticone #: 684-7543
Cont t,act -)r-.
JAY MILLER
PO BOX 213291
TIGORD OR 97223
Phone #.- 684--7543
Reg #. . - 30109
$ 3061 . 28 1 OTAL
This persit is issued sub.iect to the regulations contained in the ------- REQUIRED INSPECTIONS
Tioard Municipal Code, State of Ore. Specialty Lodes and all other Foot/found Insp Fireplace Insp
aDolicable iaws. All work will be done in accordance with approved Post /Seam Stv-uct Gas Line Insp
plans. This oermit will expire if work is not started within 180 Plost /Seam Mectian Insulation Insp
days of issufince, or if work is susDerdeu for morp th r 180 ays. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
Ppv-mittee Signatut-e : Mechanic.-al Insp Water- Li,.e Insp
Plumb Top Out Appv-/Sdalk Insp
Iss'-fed By - Ft-aminq Insp Mechanical Final
Call for inspection 639-4175
SEWER.-CONNECTION
.,FRM
CITY OFT11FARD CITY -, Im PERMIT #. . . . IT
. . . . GWR92--000*1','
DATE I
COMMUNITY DEVELOPMENT D 'M 01110001 SSUED:
,G%T13126 BW Hall Blvd P.O.Ba 23397,T%pW. 5W r75
5 111- ODDRESS. . 7. 1-4?Tc—)6 SW KENTON DR PARCEL: i2S11r--1CB-A014r.',.1
SUBDIVISION. . . . : ASHFORD OAKS 3 ZONING: R-7
BLOCK. . . . . . . . . . :" LOT. . . . . . . . . . . . . 1 4L.
TENANT NAME. . . . . :
UrSA NO. . . . . . . . . . : FIXTHRE UNITS. . .
CLASS OF WORK. . . -NEW DWELLING UNITS. . - I
TYPE OF USE. . . . . ..SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . ;BUGWR T1y1PERV SURFACE.
Remarks :
Owner,: ------------------------------- FEES _--_--_----_-_
JAY MILLER type Amolirit by date rec:pt
PO BOX 23291 PRMT $ 1900. 00 JLH 01/24/92
I NS)P, $ 35. 00 JLH 01/,:`4/9Z`
TTGARID OR 97223
Pt-ione #: 684-7543
Cont,ractor:
(,'O1\jTRACTOR NOT ON FILE
---------------
$ 19375. 00 TOTAL
NeL4
REQUIRED IN5FIECTIONS --------
This Applicant agrees to comply with all the rules and regulations Sewer, Inspection
of the Uri Fied Sewage Agency. The permit exoires 1B@ days from
the date issued. The total amount paid will be forfeited if the
Permit expires, The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer, is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so localed, the installer sh,111 purchase
a "Tan and Side Sewer" Permit and the Agency will insfel a lateral.
Permittee Signatitre :
IsslAed By :
Call for inspection.
639-4175
the Agency will instal a lateral.
PLUMBING PERMIT
C. OFTIGARD PERMIT «. . . . . . . s M5 T91-0; 2$
1i ISD
COMMUNITY DEVELOPMENT DEPARTMENT aboon DATE ISSUED: 01/24/92
13125 SW Hell Blvd. P.O.Bm 23307,T19W.Onqon 97 (603)6344175
6.1 IL. HOUNh-51 .7. . . : 14896 5W-F,E1q Fi.jN DRPARCCL: 29118CB--40-142
SUDD I V I G I ON. . . . i ASHFORD OAKS 3 ZONING; R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . 0142
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : l
TYPE OF' USE. . . . I SF WASHING MACH It BACKFLOW PREVNIRS— :0
OCCUPANCY GPP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . 00
STORIES. . . . „ . . . :2 WATER FIEPTERS. . . . . . 11 CATCH BASINS. . . . . . . 10
FIXTUPES--------------- LAUNDRY TRAYS. . . . . . 11 SF PAIN DRAINS. . . . . : 1
"SINKS. . . . . . . . . . 1i OREASE TRAPS. . . . . . . 20
!-AVATnRIES. . . . . :4 OTHER FIXTURFS. . . — :0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . 90
WATER CL.OSETS. . r3 WATER LINE (ft ) . . . . : 100
DISHWASHFRS. . . . il RAIN DRAIN (ft ) . . . . :0
•.
Remarksi
OWNER: ----------------------------------
,JAY MILLER TIF 4 13580. 00 JLH 01/24/92 -
PO BOX 23291 BPRT >b 421. 00 JLH 01/24/92 -
BPI-C $ 273. 65 JLH 12/L?A- /91 221178
rIGARD OR 97223 B5PC $ 21 . 05 JLH 01/24/9-? ---
#: 684---7543 SSDC $ 2801. 00 JLH 01 /24/92_' -
PARK $ 300.00 JLH 01/24/9E'
P'lumbing MPRT s 39. 00 JLH 01/24/9e -
MPLC $ 9. 75 JLH 01/24/92 -
KEN WATTS cokicT. M5PC $ 1. 95 JLH [At/24/92 -
Address : PERT' $ .1. 47. 50 JLH 01/24/92 -
rit y j p C pt 7. :5(] /P.4/92___
JLH 01
o n e#
RGq #2
REOUIRED INSPEC.TJONS
This permit is issued sljbje�L�,ew the rew- W/ 4IVv
vlatiors contained in the Tigard MUniVipAl Foo t/f o mW Insp RAin 'dv-ain Insr,
Code, c)Late of Ure. Sperialty Codes and all Post/Beam Struct Wa7.pt- Line Insp
other-, applfr-able , laws. All work will be clone ,Post/Beam Mpchan Appt .1 -jdwlk Insp
in aecorclance with approved plans. This Plm/undslab Insp Mechaiical Final
permit will expire if work is nut started PLM/Underf I ovv- Plumb Final
wirthin 180 days of issuance, or if work is me(zhavival Insp Building Final
su%pendod for more than 18,71 days. Plumb TOP OLkt Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
Insulation Inrjj
Gyp Board Insp
AUthorized Plumbing Contractor SignatUr-e
Call for inespertion - 639 4175
Contractor Not
-ANN,
IPA
CITY OF T I OAR17 - REr'CEM I F►i OF PAYMENT I?FCF IP'T NO.
CHECK, AMOUNTz 4766. 28
Pli'b{�fE a
MILLER, JA's CASH AMOLR41
�11,►L� Ew gal a PAYMEN"f DATE 1 9c'.
I ';IJSI)I V U",31 ON a
i
PURPOSE OF PnYMC'NT P,,-JUNT PAID PURPOSE CIF' PAYMENT AMOUNT PAID
BUILDING PERM 481. 00 PLUMBING PERM» .. ._ 14'7. �N
ME::CHAN I(SAL F�f' 39. 00 5'f. BUILD t--ICS R }�, 38
IPLAN CHECK FE ^3. 40 SE'WE..R 11SA 1`0, 0. @0
S WLR INSPECT 35. 00 RESIDENTIAL TRAFFIC FEES 1290. 0
MnSS TRANGTT 711 FEE: 3 100. 00 STORM DRAIN SDC
1 280. 00
141:96 SW KFNT'C1N
r0TAL. AMOUNT PWD _ »., 4 766. P8
i
I
S
C:1'TY C1F' 1If �lFi'11 F2F:[ 1F'`t` CW PAYMENT RECF. IE=T NO. nq1 rr`11'!A
CaHECF, AMOUNT
9taMF; JFAY M I ULEb Ft BUILDER, INC CASH AmotiNT n 0. 00
�II)E:Jf4' IS�iC.i BOXr". ;i?�3;�, POYME".NT VATE
t1 F?�Ip I V I I ON
TIGARD, OR ')72p3-- f
9"t.IF'E'U' F OF PAYMENT �1MOONT PAIDF't.IRt~'C)�aF_ OF, �'AYMF hIT AM(µ►tiNf ►'FaT[)
I
I
i
LlAN CHECK 850. 00
i
1.01' 6, ASHFORD I t t
AL AMOUNT PAID 250. eoI
5
i
r