10747 SW NORTH DAKOTA STREET -y cV
*74
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IT IS DUE TO THE QUALJTY OF No 36THE ORIGINAL DOCUMENT . lE 1],,
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10747 SW North Oakota Street
I
V
i
CITY OFTIFARD
cny 1WBOND
COMMUNITY DEVELOPMENT DEPARTMENT omem UCCUPANC Y
13*6 SW HWI Blvd. P.O.bw 23397,7%W,Or*W 97 (6W)639-4175 r,r:ptvll,l . v itC C-1v1GT-9-Q—Wj
b39•-4171 0-11L-
S ITE ADDRESS. . . 1 1074*7 SW NORTH DAKOTA ST PARCEL 151i"-*50B- Ir*101A
6UBD I V I S I EIN. . . . I PARTITION PLAT 90-8 ZONINGs R-4. 5
BLOCK. . . . . . . . . . I LOT. . . . . . . . . . .. . . ft
CLASS OF WORK. mNEW
TYPE OF USE. . . PSF
OCCUPANCY GRP. cR3
UCCUPANCY LOADIJIS 4
1 ENANT N14ME. . .
R p m A r 1« -,
Own e r t --------- --
FERNWOOD VEV- INC
81110 SW MAPI-r-t L A F- ST
PORTLAND OR 972P3
Phone #p 244-)r'.33
FERNWOOD DEVELOPMENT, INC.
f'. SW I..ADr,) Hii-1-
�ij_JEIIW001) OR 9-1 140
Phone #1 6PO-4106
Reg #- - v 0276
GccuF:rancy of is tlet_01.3y giVell, randVoyr.i. ifief,
the Above referpric-ecl building
the cnmplianre with tile State of Oroyon Spqcialty ralivs fOv- the 9v'OLP
oc,c*.,ujjmkncyq MY'V(i USe WIdOr' wilic-ti the referenced permit wits jer'l-lud.
FIRt:
BUILDINU 1
AL
POST IN CONSPICUOUS PLOLE
INSPECTjL)N yOTICE
City of Tigard Building Depart—t
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect.ior.: --
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Meeh. Rain Drain Insulation -Plumb.
Pl.bg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requesteds j (.�( Times _ =AM PH
Address: /L, 7, / Permit 1: r/ 41
Builder:
THS FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector:
APPROVED =,_ DISAPPROVED APPROVED SUBJECT TO AROVF.
rail For Reinap.
-"w9 'nfl •R •7 � � � � �
INSPRCTION NOTICE ��
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)t 6119-4175 Business Phone: 639-4171
Inspections �_ __ ✓/,/� .
Footing Plbg. (Inds ab' Mech. Rough-in =Appr/sdwlk
Found. Plbg. Top Out Gas Line FINALt
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
1�1
Date Reyuestedt 741-7
/ Ll _Time= __AM ,__-_PPM
Addreso:
Builder:
THE FOLLOWING COR"rTiONS ARE REQUIRED:
6111
Inspector=s tA-W _ Date= // - Z(t' '471
APPROVED DISAD APPROVED SUBJECT TO ABOVE
Call For lleinap.
1w i i wR i i' a•f i
N�SpE�ON NVfIC6 �
City of Tigard Building DOPartaent
13125 80 Hall Sled- Tigard, Oregon 47223
Inspection Line (Rec:-o-Ph9M)s 637_-4175 Business Phones 539-4171 r\�
PLtxli bnderelab Meeh. Rough-in f:ppr/Sdwlk' S
Footing -
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Strnct. San. Sewer
Framing -Bldg.
insulation -ply.
Post/Beam Mach. Rain Drain
Plbq. Underfloor Water Line Gyp. Bd.
-Mach.
Date Requseted: C � Time:
PN
1 1
7 ! Permit #1
Address: `L .� —r--
Builder:_
THE
FOLLOWING CORRZLTIONS ARE REQUIRED:
2 Date: `l-k, 'Inspector: —
APPROVED IS" VED APPROVED SUBJECT TO ABOVE
�..�-a 11 For Reinsp.
IN�ffST_XON NOTICE
City Tigard Building DOP int
1312' Bf1 Ball Blvd. Tigard, Grogan
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect].on:__----------
Footing Plbg• Underelab
Mech. Rough-in Appr/Sdwlk
Top Out Gas Linsc
FINALS
Found. P1'g•
Framing bldg.
Poet/Beam Struct. San. Sewer --•-�
Rain Drain
Insulation -Plumb.
Poet/Beam Mech.
G Bd. -Mech.
plpg, Underfloor water Line yp•
.res AN �PN
Date Regaested:_
Permit f
Address:
Builder:
THF. FOLLOWING CORRECTIONS ARE REQUIREDt
-----------
i
r , ep
Inspector t -----
/Y ^APPROVED —_ , UiSAPPROVRD APPROVED SUB•7RCT TO ABOVE
C - call For Reinsp.
INSPECTION NCYJICE
City of Tigard Building Departoent
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Suaineas Phone: 639-4171
Inspections,___ --- -- -----
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strict. San. Sewer Framing �Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd3n Neth
Date Requested:_ �-1!i Till, _ LAM PM
Addresa:. � Permit f: ®
Builders"�--
THHEE FOLLONING CORRECTIONS ARE REQUIRED:
� .✓F�t-'P E�EGi7LlY,�,L.�I�/�ylt!<�.v;� l�iy/1�1�.p
71D 525124 AAy l—il OMuN4 f'c:�i iG4t7%"e u
5 u af-0 uo gJ L"'a m L C;,4.S P( P(r i 5-r-
os�— si cy.i ca' 6 3 9Agc
z9Gs� csr"'-e 7=rt
'o-t-
Inspector:_ n — Dotes Gy - Y
APPROVED '�DISXPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
AISPECf1ON NOTICE
City of Tigard Building Department
13125 81111all Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Frnming -Bldg.
Post/Beam Mech. Rain Drain Insulaattiioon -Plumes.
Plby. Underfloor Water Line Qyp. Bd. / -Hoch.
Date Requested: 2 ej ` 1 Times _x_AM PM
Addrd.e l ` !V ��Y�C� ` Permit #s `?(J ✓W
Builder:
THE
FOLLOWING CORRECTIONS ARE`REQUIRED:
A✓la,C.a!"�
Inspectors
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
--Call For Reinsp. }
I N S PH jQtL NOTICE
City of Tigard Building DePartJent
13125 BW Ba]1 Blvd. Tigard, Orogon 9713
Inspection Line (Rec-O-Phone): 639-4175 Businesr Phone: 639-4171
Inspections ---- --_--------
Rooting Plbg. Underelab Koch. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINAL$
Poet/Benin St-Uct. San. Sewer {f in9 1 -Bldg.
Poet/Beam Minch. Rain Drain QInsulation
-Plumb.
Plbg. Underfloor Water Line Gyp. Rd. ..Noah•
Dote Requested:
—g,7 5/- D Timet AN —2 p11
Address: 7Z/7 Permit. it
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDs
di O[l. (M i IJj3L+.S SCJF�[�o1��—
14 XAU
inspector: Dntes_ ►<'�- 9-'----
ApPllOVtb DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainep.
LtInEgr NOTICE t
City of rislard Building DePart�n
131211; BM' Hall Blvd. tigard. Oregon 97223
R�-O-Phone): 639-4175 Oueineee phone: 639-4171
Inspection Line (
Inspections A r/SdWlk
pI Underslah Mech. Aosgh-in �
Footing FINALS
To Out Gas Line
Found. plbqp
Framing
•Bldq•
San. Seer
Poet/Beam Struct. -plumb-
in Drain
Ra
Insulation
Poet/Beam Nech• .-Mnch.
Gyp. Bd.
plbg, Underfloor Water Line AM PH
Date Requeel-eds , e
Permit is
Addreess���)— _
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:-----' - —__�_
Deter_
�2-
Inspector:_.—_—_----
APPROVED DISAPPROVED
APPROVED SUBJECT To ASO"
Call For Reinsp•
UM971"N NOT I CE
City of Tigard Building Dnpart_aemt
13125 SW Hall Blasi. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone; 639-4171
Inspection:--_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Can Line ! FINAL:
Post/Beam Struct. San Sewer FriuO-.g -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hech.
Date Requested:_ -� Time' _AH PM
Address: /�� 7G
Permit ♦:�'���
TNM FOLLOWING CORRMCTIONB ARM RIQUIRRD:
Inspector' Datet 7-Z'-:�
-APPROVED DTSAPPROVMD
APPROVED SURJMCT Tn ABOVE
____Call For Reinsp.
LN$�ECT O NOTICE
City of Tigard Building Depar-tAent
13125 SW Hall Blvd. Tigard, or.-egon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspect ion s—_ -- -
Footing Plbg. Onderelab Mach. Rough-in Appr/Sdwlk
Plbg. ToGas Line FINAL:
Found. p Out
-Bld
Poet/Beam Struct. San. Bower Framing g
Post/Beam Mech. Rain Drain
Insulation -Plumb.
Underfloor Water Line Gyp. ad. //) 7 leech.
Plbg. !C�
- Times AM
Date Requesteds^
Addreess ' hermit �t (,/J L1 �
Builder:
THE FOILOWING MRRECTIONS ARE REQUIRED:
,/ -- Dates _ y
Inspectors_ - --- '—
>LAPPROVRD DISAPPROVED APPROVED SUBJXCT TO ABOVE
�� Call For Reinep.
INSPECTION NOTICE
City or Tigard BuUding pepartoent
13125 611 Ball Bl,d• Tigard, 0197223
Inspection Line (Rec-O-Phons): b39 4175 Bu '.neon Phone: 639-4171
3:nspection: ���--'/
plbj, UnderelalS
mech. Rough-in Appr/Sdwlk
pooting pINAL:
To Out u.:a Line
Found. PLbg. p
sewer San. Sevro
Framing -Bldg.
Poet/Beam Struct. -Plumb•
Rain Drain
neilation
Poet/Beam Hech. ,c__.__-
-Koch.
Plbq. Underfloor Water Line Gyp. bd.
-= T�.me: -AN -PM
��-/-
Dote Requeatad:
permit 1:
Address:
Builder:
THE MLLOWING CORRECTIONS ARE REQUIRED:
____----
� - L
Data
Inspector:
DISAPPROvto APPROVED SVBJECT '1C+ ABOVE APPROVED I
Call For. Iteinap.
APPLICATION - STREET IMPROVEMENT/EXCAVATION �Z7_11
COPY TO:
J/ X (WHITE)-FILE
ORDINANCE NO. 74-14 I S ® (YELLOW)-INSP.
IMST'RUCTIONS ON SEPARATE SHEET (PINK)-OTHERAGENCY bldg1 ) ` (BLUE)-APPLICANT
0
APPROVED APPLICATION NO.: - 44r r
NOT APPROVED [I CI I'N' OI' 1IGARD, OREGON FEE AMT.. S 120.00
PENDING FEE.PMT. ❑ CI I'N' IIAL L RECEIPTJ�/9� -L I I-,OL+ q�
PENDING SECURITY L-1PUBLICWORKS DEPARTMENT BY ,LJliil—_ DATE =
PENDING AGENCY ''OK" 9_ Appllcation and Progress Record I L���
PENDING INFJFOR STREET
RMATION ❑ IMPROVMAINTEN NCE BON +.
IMPROVEMENT/EXCAVATION As RE ullreu �!
ANNUAL
PENDING VARIANCE ❑ EXPIRATION DATE:
PERMIT NO.: 47�-��_. .- DATE ISSUED: - -_� � _ t'___ BYi '
(I�APPLICATION IS HEREBY MADE TO /ATE FOR AND INSTALL __L4` T' S&MAS ATR
nRI11`SWA►Y APRON _. AS DESCRIBEC HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT Fernwood Develop not Inc. 7600 SW Elmwood St. _ Tigard__ OR 97223 _ 244--1 J:
NAME- ADDRESS � CITY PHONE
CONTRACTOR (Same)
NAME._. ADS
PLANS BY Per City Stamlacds
NAME ADDRESS CITY PHONE
ESTIMATED IMPROVEMENT TOTAL_ VALUATION ( COST) S
DOLLARS
FOR OFFICE US[. MIN.
(2) EXCAVATION DATA: 0.04 X 3,000.04
STREET _ _ DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT (.UT CUT MATERIAL INSTALLED ITEM DATE REMARK;/TYPE BY
_ TYPE LENGTH WIDTH DEPTH_ ITEM I_!� QUANTITY _
STREET
OPENED
^k'xth a St. (se@ ttach ) R
SPE
- E
Q
U -
E
ESTIMATED STREET OPENING DATE:____.�_ � S
T - ---
ESTIMATED STREET CLOSING DATE: __-_ E
D _
STREET
(3) SECURITY NO -- SECURITY AMT.: $ CLOSED
SURETY CO. FINAL
CHECK _ CASH O sONa INSPEC.
(4) PLOT PLAN. INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT. 1. Notify City Inspector Carl
SITE: 10747 SW ,� yieweg (#639-4171) 24 hrs.
11 North Dakota St. ; q � _prior to starting work.
I work arvxstceet
' t 2. All work shall ronform to
1 �-
-- City Standards/Specifications
&id to the attached plan.
S.W. North Dakota _ 3. (excavator meet carply with
.,Rr, ORS 757.541 - 571 (Utility
prelocation, etc.).
1 ( L I 4. Traffic control to be provided
I
I I I I for by contractor (the roadway
shall riot be closed to traffic).
(5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
APr't ((-ANTS SIGNATURE DATE
i11SPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec•-O-Rhone): 639-4175 Businete Phone: 639-4171 i
Footing
plbg. Underslab Mech. Rough-in Appr/Sdwlk
P
To Out Gas Line FTNAI.s
Found. Plbq.
Framing -Bldg.
at/Beamat San. Sewer
✓ _ Inaulation -Plumb•
eat/Be!m Rain Drain
-Mach.
plbg• Underfloor Metes Line Gyp. Bd.
''7 —
PM
�5 / �__-- _T lme: �_ -- -
Date Requested: r /
Permit
Addresst
auilderi
THE FOLLOWING COBItBCTIONS ARE REQUIRM
—
Date: Z_
Inepectort—
APPROVED APPROVED SUBJECT TO ABOVE
�__ DI^APFROVF.D
call For P"inep.
Is NWE MR&INS
K6PE4T1-0N 9OTM�K L�
City of Tigard Building Depart—t
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: — —�.�----T. _—� --- ----
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL-
Post/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Nech. Rain Drain Insulation -plumb.
*bq. Underfloor ) Nater Line Oyp. Bd. --Mach.
Date Requeeted: �` Timet _ AM _PM
Addresst 2 21 Permit ft. Q_1, (�
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors72
_ Date:
_APPROVED _ DISAPPROVELV"I'-" APPROVRD SUBJECT TO ABOVE
_--Call For Reinap.
IIfBPgCPI014 KJICE
city of Tigard Building Department
13125 SW Ball Blvd, Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Rusineae Phone: 639-4171
Inspections --
Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL.:
post/Beam Struct. San. Sewer Framing -Bldg.
poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Hoch.
Date Requaatad: `! ! Time: AH
Address: permit s Gl`'V i
Builder:THE FOLLOWING CORRELMONS ARE RNQUIREDs
/�'-� �2C/'l7 V:LA�sa �d tJT`i.•tC LL �.[)vTLJ - /_1,G $T i L'/�=
c c-
�~t7
/vol
Inspector: Date:
APPROVED DISAPPROVEDl1PPAOVED SUBJECT TO ABOVE
Call For RMinsp.
�@FSCTION Nmrlcs
city of Tigard Building Departaant
13125 OW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O•-Phone): 639-4175 Business Phono: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found.� Plbg. Top Out Can Line FINALS
Post/Beam Struck. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor ,Nater Line Gyp. Bd. -Hoch.
Date Requoatod: "7 45 ` I I _ _ Time:' PM
Addrees:__,,_- Alt? - ��. /tet ' - Permit
Builder:
THE FOLLOWING CORREGT.IONS ARE REQUIRED:
zz
Inspector: -— - - - -- Date: V�
' - APPROVED �- DTSAPPROVED APPROVED SU&7R(`T TO ABOVE
--Call For Reinnp.
I
MEMORANDUM
CITY OF TIGARD
To: Wayne Lowry, Finance Dept.
From: Brad Roast, Building Off icid'l'-
Date: 4-1-91
Subject: Development fee refund. 10747 SW North Dakota St. Permit
# MST90-0336 .
All the Development fees charged to the above need permit to be
refunded. Please provide a check payable to:
Fernwood Development
8150 SW Mapleleaf St
Portland, Or. 97223
In the amount of:
SDC- $600.00
SSDC- $375 .00
PDC- $500 .00
Total- $1475.00
There was an existing house on this lot ( formerly 10735 SW North
Dakota St) that was demolished. A property that removes and
replaces a dwelling s not subject to the development fees .
All. future dwellings constructed on the property will be subject to
the fees .
MASTER PERMIT
CITYOFTIFARD cffyLID PERMIT #. . . . . . . . MST90-033f:
COMMUNITY DEVELOPMENT DEPARTMENT OREGON DATE. ISSUED: 02/07/91
13125 SW Hall Blvd. P.o Boa 23397,Tigard,Orem 9727.!(SM)6394175
!E ADDRES: . 10747 r�W NORTHDAKOTA
PARCEL- 1`51.34DP-PAF
t.JIaDIVISION. . . . : ZONING: R-4. 5
I"LOCK. . . . . . . . . . LOT. . . . . . . . . . . . . --- ----- -
____-_ BUILDING
'?E I SSUE:MS T90-0:335 DWELLING UN I T5: 1 BASEMENT. . . . . . . . :0 s f
, - GARAGE. . . . . . . . . . :400 sf
�..-LASS COFWC]RK. :NEW BEDRMS:3 BATHSr
I YPE OF USE.. . . :SF FLUOR AREAS---_.__.___....__. REQUIRED SE:'fBACKa_-_.._.._.--_-.._...-
! YF'E OF CONST. :5N FIRST. . . . : 1620 sf LEFT. . : 12 ft RIGHT. : 12 ft
,f FRgt,IT. :4`, ft REAR. . :3?, ft
ICCl.1F��ANCY GRN. :R3 SECOND. . . :0
';TORIES. . . . . . . : 1 THIRD. . . . :0 sf REQUIRED-•-----------_--
_-__
IL,IG1IT. . . . . . . . . i8 ft TOTAL --- .. : 1620 sf GMOVE DETECTOR a. :Y
r'L_0OR LOAD. . . . :40 os f VALUE. . . . . $: 81720 PARKING SPACES. . :0
Remarks : _ --
------------------------------ PLUMBING -----------------------------------
DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
,_AVATORIES. . . . . :2 WATER HEATERS. . . : i TRAPS. . . . . . . . . . . . . . :0
TUN/SHOWE.RS. . . . :(" LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . 10
,0
)PIER CLOSETS. . :c SEWER LINE (ft ) - :0 GREASE TRAPS. . . . . . .
DISHWASHERS. - - WATER LINE (ft) . : 100 OTHER FIXTURE'S. . . . . :0
13ARBASE DISP. . . : 1 RAIN DRAIN (ft ) - !0
14PSH I NG MACH- - - I SF RFP,I N DRA l NS. . : 1
MECHANICAL -------- -- - -__ ________._._.______
FEES ------•--- - ..__--_
UEL. TYPES-----._.__._.. -- UNIT HTRci. . -0 typo amow.mt by date P
/GAS/ i / VFNTS . . . . . :0 PAYM 40. 00 JLH 10/18/90 2059bb
11AX INPUT':0 BTU VENT FANIS. . : BPPT # 37'3. 1710 /
IJPN < 100K . . : 1 HOODS. . . . . . : 1 BPLC 11 40. 00
1-URN ) z100K . . :0 WOODSTOVES. :171 LA5F'C i 18. 9`
"LOOK FURN. . . . :0 CLC: DRYERS. -. 1 BTDC 4 000. 00
110IL/CMS' < 3HP11LA OTHER UNIIS:O SSDC $ _ 75. 00
GAS OUTI_ETS: 1 PARK $ 500. 00
Owner: MPRT $ 33. 00
F7F_RNWOOD-DEV. INC' MPLC 11 8. 25
H150 SW MAPILE:L1 AF 'sT ti15V'C $ 1 . 65
PPRT # 117. 50
PORTLAND UF2 97223
F-15F'I: # 5. 88 J
?hone #: 244-1233 PAYM F 2039. 23 JLH 02/07/91
"ontractor:
WERNWOOD DEVELOPMENT, INC.
B t 50 SW MAPL.ELF_AF ST
PORTLAND OR 97223
r',one #: 244-1233 -- - --_-----_____---
2079. ?3 TOTAL
This peroit is issued subiect to the reculations contained in the ------- REOUIRED INSPECT IONS - --
Tipard Municipal Code, State of Dre. Specialty Codes and all other Foot/foi-mid Insp Mechanical In..
applicable laws, All Mork will be done in accordance pith approved Wtv- Proof i n g S s m P 1 I.1 m b r o o 01-01
clans.. This permit will expire ifwork is not started within 188 F'ost/Beam Fitri.lct Framing Insp
:i8'•s of issuanc6, or if work is sl'.sperded for tore P • :88 days. Post/Beam Mechan Fireplace lnl i'
Crawl Drair. Gas Liar Insr
F'lm/undslab Tnsp Insulation I
PLM/Underfloor Gvp Board lne,p
Ftnq 11irain Bsm' t R in drain i -
Call for inspection - 639-4175
SEWER CONNECTION
V,F--RM I f
D SWR90-0394
CITYOFTIFARD WYOFTLARD E*:RMIT #. . . . . . . z
COMMUNITY DEVELOPMENT DEPARTMENT I)t 02/07/91
13125 SW Hall 8W. P.O.Box 23397.TjpM,orepn 97223(503)63"175 S's U IF
—-——--------------------------------- PARCEL: 13125DB-121OV'
SiiE ODDRESS. . . ; 10747 SW NORTH DAKOTA ST 7ONIN13: R-4. 5
SUBDIYISION. . . . : PARTITION PLAT 90-8
BLOCK. 3 LOT. . . . . . . . . . . . .
TENANT NAME. . . . . : FIXTURE UNITS. . .
USA IVO. . . . . . . . . . .43170 DWELLING UNITS- - -, 1
CLASS OF WORK. . . :NEWNO. OF BUILDINGS31
TYPE OF USE. . . . . :SF IMPERY SURFACE. . : :sf
1\15TALL TYPE. . . . :BUSWR
pmArk s :
----------------- FEES
C lwy-er: -—-----—--—————————————— by date rec E)f
type anto int
171.RNWOOD DEV. INC pRMT $ 1500- CAO
"At50 SW MPPLELLAF 61' 1 NSP $ 35- 00
ppyM s 1535. 00 JLH 02/0-'/91
-,(JRTLAND OR 97223
t-,hone #: 244-1233
Contractor:
14EDINIS HEATING
p. U. BOX 584
HILLSBORO OR 97123 -_-___x_._153`,.-00 TOTAL
Phone #! 503-4-48-1159
peE, #. . : 47211 REQUIRED INSPECTIONS
This Applicant &Drees to comply with all the rules and reoulations Sewer- Inspection
of the Unified Sewage Agency. The permit expires 120 days from
the date issues'. The total amount paid will be forfeited if the
---
remit eyvires. The Acency does not gurantet the accuracy of the
side sewer laterals, if the sewer is not located at the measurement
given. the installer shall arosvect 3 feet in all directions from
the distance aiven. if not so located. the installer shall purchase
a 'Tap and Side Sewer' Permit and the qqe%� will ;rstall a ' -oral.
ple"mittee Signat'Ar-P I
I s si-ted By
Call for inspection E,39-•-4175
I
C I TY OF 1 I GARD RECEIPT OF V.'AYMF NT REC;E I PT NCI. :91--209535
CHECK AMOIJN,r t 35'74. 23
NAME : F'ERNWOOD DFVEL(ll-)Ml:NT CASH AMOl_IN( QI, 0►T
oul)RESS Y PAYMENT DATE: 0i=/07/91
SUBDIVISION
1@747 NORTH DAKOTA
PURPOSE OV PAYMENT AMOUNT FSA I D PURPOSE OF PAYMENT AMOUNT PAID
I3UT1_.DING GERM M S'r94+ -Q►:3,�,f+ ;379. @► UME►INCj PERM , 5�
MECHANICAL PE' 3;3. 40 ST. NU I LD FSE=R 26. 48
i FLAN CHECK HES 13. 219 SEWER USA15-00. 00
1 S17WER INSPECT :35. 00 STREET SDC; 600. 00
I PARKS 5I)r 500. 00 STORM DRAIN SDC 375. 00
(
rOI AL AMOLIN T PAID
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� M rp�,tzx i�w 9
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i CITY OF T I(:A-RD RECEIPT OF f'AYMFNT RECEIPT NO. r �+.., -a C►Ci�'F3C3
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CHECK AMOUN T r >(1.Q()
1'IF= n FE RNWOOL) DEQ✓E:.I._UPMLNT CASH AMOUNT r 0.of*)
1. rtEl�3 n PAYMENT DATE s 10/1(3/90
TIBARD, OR 91� �-._ ryUBDIVISION t
I
)! -13SE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
t)1'4 CHECKµFE �10– 36R 4). 00 PLAN CHECK FE^_. :EU-37P 40.
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